TMJ Problems

TMJ disorders develop for many reasons

Injuries and arthritis can damage the joint directly or stretch or tear the muscle ligaments. As a result, the disk, which is made of cartilage and functions as the "cushion" for the jaw joint, can slip out of position. Whatever the cause, the results may include a misaligned bite, pain, clicking or grating noise when you open your mouth or trouble opening your mouth wide.

The more times you answered "yes", the more likely it is that your have a TMJ disorder. Understanding TMJ disorders will also help you understand how they are treated.

There are various treatment options that we utilize to improve the harmony and function of your jaw. Once an evaluation confirms a diagnosis of TMJ disorder, we determine the proper course of treatment. It is important to note that treatment always works best with a team approach of self-care joined with professional care.

The initial goals are to relieve the muscle spasm and joint pain. This is usually accomplished with a pain reliever, anti-inflammatory or muscle relaxant. Self-care treatments can often be effective as well and include:

Stress management techniques such as biofeedback or physical therapy may also be recommended, as well as a temporary, clear plastic appliance known as a splint. A splint or night guard fits over your top or bottom teeth and helps keep your teeth apart, thereby relaxing the muscles and reducing pain. There are different types of appliances used for different purposes. A night guard helps you stop clenching or grinding your teeth and reduces muscle tension at night and helps to protect the cartilage and joint surfaces. Appliances also help to protect from tooth wear.

If your TMJ disorder has caused problems with how your teeth fit together, you may need treatment such as bite adjustment (equilibration), orthodontics with or without jaw reconstruction, or restorative dental work.

Surgery is generally reserved for patients with severe locking symptoms and/or pain not responding to conservative, medical treatments. Procedures may range from arthrocentesis (rising joint) to open-joint surgery. One of the most successful, yet conservative TMJ surgical procedures is called Modified Condylotomy. It helps reduce pain and locking symptoms by creating an increase in the space within the joint. It does not involve an incision on the face, thus reducing scarring both of the skin and inside the joint.